NPI | 1306089404 |
---|---|
Former Name | JENNIE MEI HERRINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: HI DOS-1573) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA OP60192346) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2021-06-18 |